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, _ . <br /> /heEvC�vOF �' �'ONSTRUCTION -- ,�-� �. � � <br /> everett PERMIT PERMIT NO. OH638 <br /> CITY HALL 259�8745 � <br /> EVERETi,WA 98201 ❑ COMBINATION ❑ BUILDINO �MECHANICAL ❑ PLUMBINO <br /> 01YNER '�41LADDPE55 CITY ZIP PNONE <br /> Thomas M. Tredway 1521 Rucker 98201 259-2488 <br /> ARCHITECT OR DEStGNER MRIt ADORESS CITY 21V PMON[ <br /> GENER�L CONTN�CTOfV MAIL ADDHESS dTY DP FMONE LICENSE 1 <br /> Same <br /> N[CNANICAL CONfMCTOR MAIL RDDRE55 LITY ZIP PHONE LIGF�.CS I <br /> PLUMBINGfANTR�CfOR MRILADDRESS GiTV ZIP PNONE LICENSEI ' <br /> CI.�55 OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRLUATION OF WORN <br /> S <br /> DESCRiBE WORN <br /> PROPJSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP- <br /> �ecaoescnivrioNuvvnorEarr�sHowse�owonnnncNFouncoaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> � ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eioc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHEF STATE OR LOCAL LAW R[GULATING <br /> CONSTRUCTI N OR THE PERFORMANCE OF CANSTRUCTiON. <br /> J09 RDORE55 SIGN TUPE OF RACTOR On RUTHOAIZEO T DA1E <br /> 1521 Rucker Avenue X �q �� 12/1/80 <br /> PLUM61Nfi MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE , <br /> WATER CLOSET OILEn AIR COND.UNITS—H.P.EA. ' <br /> BATMTUB flEPRIGERAT10N UNITS—HP.EA � <br /> IAVATORY ASH BASIN BOILERS—HP.EA. , <br /> SHOWER GAS F!RED AC.UNITS—TONNAGE EA. , <br /> KITCHEN SINK 6 DISR FORCED AIR SYSTEMS— B.TL. <br /> DISHWA6HER WALI HEATERS —B?.U. M � <br /> UUNDRY TRAV UNIT HEATEPS—0 T U. M � <br /> CIOTNES WASHER EVAPORATNECOOlEHS � <br /> N'ATER HFATER CLOTHES DRYERS � <br /> URINAL VENTILATION FAN , <br /> DRINKING FOUNTAIN NANGE HOOD ' <br /> FLOOR DMIN AIR NANDLING UNIT— C F.M. � <br /> VACUUM BREAKERS SiOVE � <br /> ROOF DMINS—RAINLEADERS METAL FIREPLACE 8 CNIMNEY - <br /> SINK(SERVICE—BAR,EiC.) <br /> i <br /> W�TOTAI SUBTOTAL { 6 00 � <br /> rE11MlT f VEIIMIT t 3 00 <br /> T AL FEE TOTAL FEE <br /> SIDE VFflD SETB�.CK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUM�ER PLAN CMECK FEE � ' <br /> � FEE RECEIPf NO. � <br /> USE 20NE LOT AREA �ACANT SITE � <br /> ❑YES ❑NO FEEB VALUATION FEE <br /> . TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELLING UNITS � <br /> BUILDING S <br /> SIZE OF BLDG. N0.OF STORIES MAX OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS <br /> REOU�RED MECHANICAL 9 OO <br /> ❑VE6 ❑NO <br /> APMOVALS �1' pATE OTHEH <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B C. <br /> 2. BUIIDINGPLANS SEC.303�a) <br /> 3. FIREHYDrUNT TOTIIL 9 00 <br /> 4. FIRE PROTECTION SVSTEM rE11M1T VALIDA710N <br /> WHEN PROPERLY VALIDATED(W THIS SPACE)THIS IS VOUR PpERMIT <br /> 5. GRADING I � � � � O O /. O O ��� ' <br /> 6. ORAINAGE (1/) <br /> 7. ENVIRONMENTAL IMPACT STATEMENT CO <br /> e. HEALTM DISTRICT ��,� �- �.i f' R�C�I PT p <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> . . '',Idr. YC� U <br /> - ) DEC 8 D <br /> `RE55 FILE <br />